Organization
FLAWLESS SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELTON XAVIER TINLEY (PHYSICIAN/SURGEON)
(312) 222-0030
Entity
Organization
Contact information
Practice address
1272 WINSTON PLZ, MELROSE PARK CLINIC, MELROSE PARK, IL 60160-1507
(708) 615-7546
Mailing address
PO BOX 804193, CHICAGO, IL 60680-4103
(312) 222-0030
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
036079325
IL
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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